VHIS Hong Kong
FWD · F00045-06-000-03

FWD vPrime Medical Plan

FWD vPrime Medical Plan is a Flexi Plan certified under the Voluntary Health Insurance Scheme, certification number F00045-06-000-03. It entitles the insured to a semi-private room and covers treatment worldwide.

Premium by age, current schedule

AgeAnnual premium
30HK$2,656
45HK$3,778
60HK$8,142
75HK$18,942

Female non-smoker, the plan currency, before levy. Age is the only thing that changes down this table; it is the plan's own filed schedule, not a quotation.

What it pays

RoomSemi-private
Geographical coverworldwide
Annual limitHK$16,500,000
Lifetime limitNone
Room and boardPaid in full
Hospital chargesPaid in full
Doctor's visitsPaid in full
Specialist feesPaid in full
Intensive carePaid in full
Surgeon's feePaid in full
AnaesthetistPaid in full
Operating theatrePaid in full
Diagnostic imagingPaid in full
Non-surgical cancer treatmentPaid in full
Outpatient before and afterPaid in full
Psychiatric treatmentPaid in full

Also includes dental, maternity, a companion bed, hospital cash, rehabilitation, hospice care, kidney dialysis, reconstructive surgery, the deductible waived for critical conditions, a death benefit.

What the plan document states

Read from the certified Terms and Benefits. Each page link opens that page of the filed document. Fields the document does not state are left out.

Guaranteed renewal to age100 p.16
Pre-existing conditions unknown at applicationNo coverage for the first 30 days of the first Policy Year; full coverage from the 31st day of the first Policy Year onwards p.26
Waiting period12 months for pregnancy complications; 90 days for designated crises deductible waiver p.43
Cancellation and refundFull refund if cancelled within 21-day cooling-off period (no benefit payment made). After cooling-off, cancellation with 30 days' notice if no benefit payment made in the Policy Year. p.6
Switching from another planSwitching to a plan with upgraded or additional benefits is subject to re-underwriting limited to the new benefits. Switching to a plan with downgraded or reduced benefits does not require re-underwriting but is subject to company discretion. p.18
Room classStandard Semi-private Room in Hong Kong, Macau or Mainland China; Standard Private Room in other regions of Asia or for Emergency Treatment outside Asia p.68
If a higher room is usedIf voluntarily confined in a higher ward class, a ward class adjustment factor of 25% or 50% is applied to eligible expenses depending on the actual and entitled ward class. p.55
Geographical coverAsia for non-emergency treatment (including Afghanistan, Australia, Bangladesh, Bhutan, Brunei, Cambodia, Mainland China, Hong Kong, India, Indonesia, Japan, Kazakhstan, Kyrgyzstan, Laos, Macau, Malaysia, Maldives, Mongolia, Myanmar, Nepal, New Zealand, North Korea, Pakistan, the Philippines, Singapore, South Korea, Sri Lanka, Taiwan, Tajikistan, Thailand, Timor-Leste, Turkmenistan, Uzbekistan and Vietnam). Standard Plan limits apply outside Asia for non-emergency treatment. p.55
Psychiatric treatment areaHong Kong only p.21
Emergency treatment abroadWorldwide p.68
Full cover on core benefitsyes p.69
Annual limitHKD16,500,000 p.68
Lifetime limitnone p.68
Deductible options250000 p.68
How the deductible appliesPer Policy Year, with a one-off right to reduce or remove without re-underwriting at ages 50, 55, 60, 65, 70, 75, or 80 after 2 consecutive Policy Years of coverage. p.54
Coinsurancenone
Pre-admission outpatientFull cover for all prior outpatient visits or emergency consultations within 31 days before admission (1 visit per day); full cover for one prior outpatient visit or emergency consultation more than 31 days before admission. p.69
Post-discharge outpatientFull cover for all follow-up outpatient visits within 90 days after discharge (1 visit per day). p.69
General outpatientnone
Psychiatric treatmentFull cover p.69
Diagnostic imaging coinsurancenone p.69
Non-surgical cancer treatmentFull cover, with an additional benefit of HKD2,500,000 per Policy Year for expenses in excess of basic benefits. p.69
Kidney dialysisFull cover for outpatient kidney dialysis and kidney dialysis incurred during Confinement, with an additional benefit of HKD2,500,000 per Policy Year for expenses in excess of basic benefits. p.69
Day case proceduresCovered as per basic benefits (full cover). Cash benefit of HKD1,800 per designated procedure at a Designated Healthcare Services Provider or in mainland China, or HKD900 per other procedure. p.22
Home nursingFull cover, maximum 196 days per Policy Year (within 196 days after discharge from Hospital following surgery or ICU admission), subject to 1 Registered Nurse per day. p.69
Hospice careHKD100,000 per Policy Year p.69
Chinese medicineHKD600 per visit, maximum 15 follow-up outpatient visits per Confinement/Day Case Procedure (within 90 days after discharge), subject to 1 visit per day. p.69
PhysiotherapyCovered during Confinement under miscellaneous charges; covered as follow-up outpatient care; HKD100,000 per Policy Year for rehabilitation treatment; covered under Stroke ancillary benefit. p.23
Congenital conditionsCovered as per unknown pre-existing conditions: no coverage for the first 30 days of the first Policy Year; full coverage from the 31st day of the first Policy Year onwards. p.26
Pregnancy complicationsFull cover for listed complications, subject to a 12-month waiting period from Policy Effective Date or Renewal Date. p.43
Emergency dentalFull cover for emergency treatment to sound natural teeth due to injury, if provided within 3 months of the accident. p.48
Hospital cashHKD500 per day (max 60 days/year) for top-up subsidy; HKD900 per day (max 30 days/year) for confinement in a lower ward class in HK private hospital; HKD2,500 per confinement for ICU in HK. p.71
Companion bedFull cover p.69
Second medical opinionnot stated
Direct billing and pre-authorisationAvailable through Designated Healthcare Services Providers network for designated Day Case Procedures, requiring reservation via service hotline. p.50
No-claim discount15% for 2-4 consecutive claim-free years; 20% for 5 or more consecutive claim-free years. Extra discount for multiple policies. p.52
Exclusions beyond the VHIS standard listvenereal and sexually transmitted disease or its sequelae; Hair Mineral Analysis (HMA) p.28

Premium record since 2021

At a constant age of 45, FWD has filed 3 schedule changes on this plan since 2021, an average of +2.1% a year, taking the premium from HK$3,424 to HK$3,778.

YearChange
2023-2.2%
2024no change
2025-0.2%
2026+13.0%

A record of what has been filed, not a forecast of what you will pay.

What a claim on this plan would look like

Private hospitals publish what they billed for common operations. These pages take those bills and work out what a plan pays of them.

Colonoscopy with or without polypectomyHK$21,098 to HK$54,834 depending on the hospital
ColposcopyHK$23,320 to HK$43,971 depending on the hospital
Trigger finger releaseHK$25,622 to HK$58,423 depending on the hospital
Cystoscopy with or without biopsyHK$23,116 to HK$62,569 depending on the hospital
CircumcisionHK$25,841 to HK$55,602 depending on the hospital
Gastroscopy with or without polypectomyHK$18,484 to HK$72,307 depending on the hospital

Every procedure with published bills

The certified plan document as filed, on the Health Bureau's VHIS site.

Price this plan for your age

Premiums are annual, in the plan currency, before the Insurance Authority levy, taken from the Standard Premium Schedules filed with the Health Bureau. Rate records come from every schedule archived on data.gov.hk since March 2021 and are a track record, not a forecast. Information only, not regulated advice.

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